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Title: Long-term adjustment of families following traumatic brain injury where comprehensive rehabilitation has been provided.
Epworth Authors: Ponsford, Jennie
Olver, John
Nelms, Robyn
Ponsford, Michael
Keywords: Adaptation, Psychological
Brain Injuries
Cognition Disorders
Family Adjustments
Psychiatric Status Rating Scales
Severity of Illness Index
Long-Term Adjustments
Traumatic Brain Injury
Emotional Adjustments
Comprehensive Rehabilitation Services
Cognitive Changes
Behavioural Changes
Family Assessment Device
Leeds Scales of Anxiety and Depression
Structured Outcome Questionnaire
SIP Psychosocial Dimension and Novaco Anger Control Questionnaire
Severity of Injury
Monash-Epworth Rehabilitation Research Centre, Epworth HealthCare, Melbourne, Australia
Rehabilitation, Mental Health and Chronic Pain Clinical Institute, Epworth HealthCare, Victoria, Australia
Issue Date: Jun-2003
Publisher: Taylor & Francis
Citation: Brain Inj. 2003 Jun;17(6):453-68
Abstract: OBJECTIVES: The present study aimed to examine long-term family and emotional adjustment in close relatives of individuals with TBI, who had access to comprehensive rehabilitation services. It also examined the relative influence thereon of factors including injury severity, handicap and cognitive and behavioural changes in the injured person, relationship with the injured person and caregiver status. METHODS: Participants were 143 TBI individuals and their close relatives. They completed the Family Assessment Device (FAD), Leeds Scales of Anxiety and Depression, Structured Outcome Questionnaire, CHART, SIP Psychosocial Dimension and Novaco Anger Control Questionnaire 2-5 years post-injury. RESULTS: Results showed that families were, on average, functioning in the normal range on the FAD. Anxiety and depression were more likely to be present in those responsible for care of their injured relative. There were no differences between spouses and parents. Presence of cognitive, behavioural and emotional changes was the strongest predictor of anxiety and depression in relatives and of unhealthy family functioning. CONCLUSIONS: Every attempt should be made to develop models of long-term support and care that alleviate these sources of burden on relatives.
DOI: 10.1080/0269905031000070143
PubMed URL:
ISSN: 0269-9052
Journal Title: Brain Injury
Type: Journal Article
Affiliated Organisations: Monash University, Melbourne, VIC, Australia
Type of Clinical Study or Trial: Prospective Study
Appears in Collections:Neurosciences

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